80 FR 29787 - Agency Information Collection Activities: Proposed Request and Comment Request
SOCIAL SECURITY ADMINISTRATION Federal Register Volume 80, Issue 99 (May 22, 2015)
Federal Register Volume 80, Issue 99 (May 22, 2015)
| Page Range | 29787-29789 | |
| FR Document | 2015-12454 |
[Federal Register Volume 80, Number 99 (Friday, May 22, 2015)] [Notices] [Pages 29787-29789] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-12454] ======================================================================= ----------------------------------------------------------------------- SOCIAL SECURITY ADMINISTRATION [Docket No: SSA-2015-0030] Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions of OMB-approved information collections, and reinstatements of previously OMB-approved information collections. SSA is soliciting comments on the accuracy of the agency's burden estimate; the need for the information; its practical utility; ways to enhance its quality, utility, and clarity; and ways to minimize burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, email, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and SSA Reports Clearance Officer at the following addresses or fax numbers. (OMB), Office of Management and Budget, Attn: Desk Officer for SSA, Fax: 202-395-6974, Email address: [email protected]. (SSA), Social Security Administration, OLCA, Attn: Reports Clearance Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD 21235, Fax: 410-966-2830, Email address: [email protected]. Or you may submit your comments online through www.regulations.gov, referencing Docket ID Number [SSA-2015- 0029]. I. The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than July 21, 2015. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Statement of Funds You Provided to Another and Statement of Funds You Received--20 CFR 404.1520(b), 404.1571-404.1576, 404.1584- 404.1593 and 416.971-416.976--0960-0059. SSA uses Form SSA-821-BK to collect recipient employment information to determine whether recipients worked after becoming disabled and, if so, whether the work is substantial gainful activity. SSA's field offices use Form SSA-821- BK to obtain work information during the initial claims process, the continuing disability review process, and for Supplemental Security Income (SSI) claims involving work issues. SSA's processing centers and the Office of Disability and International Operations use the form to obtain post-adjudicative work issue from recipients. SSA reviews and evaluates the data to determine if the applicant or recipient meets the disability requirements of the law. The respondents are applicants and recipients of Title II Social Security and SSI disability payments. Type of Request: Reinstatement with change of a previous OMB- approved information collection. [[Page 29788]] ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-821-BK.................................. 300,000 1 30 150,000 ---------------------------------------------------------------------------------------------------------------- 2. Coverage of Employees of State and Local Governments--20 CFR 404, Subpart M--0960-0425. The Code of Federal Regulations at 20 CFR 404, Subpart M, prescribes the rules for States submitting reports of deposits and recordkeeping to SSA. States (and interstate instrumentalities) are required to provide wage and deposit contribution information for pre-1987 periods. Not all states have completely satisfied their pending wage report and contribution liability with SSA for pre-1987 tax years. These regulations are needed until all pending items with all states are closed out, and to provide for collection of this information in the future, if necessary. The respondents are State and local governments or interstate instrumentalities. Type of Request: Reinstatement without change of a previously approved collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated Regulation section Number of Frequency of per response total annual respondents response (minutes) burden (hours) ---------------------------------------------------------------------------------------------------------------- 404.1204 (a) & (b).............................. 52 1 30 26 404.1215........................................ 52 1 60 52 404.1216 (a) & (b).............................. 52 1 60 52 --------------------------------------------------------------- Total....................................... 156 .............. .............. 130 ---------------------------------------------------------------------------------------------------------------- 3. Credit Card Payment Form--0960-0648. SSA uses Form SSA-1414 to process: (1) Credit card payments from former employees and vendors with outstanding debts to the agency; (2) advance payments for reimbursable agreements; and (3) credit card payments for all Freedom of Information Act (FOIA) requests requiring payment. The respondents are former employees and vendors who have outstanding debts to the agency, entities who have reimbursable agreements with SSA, and individuals who request information through FOIA. Type of Request: Reinstatement without change of a previous OMB- approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1414.................................... 6,000 1 2 200 ---------------------------------------------------------------------------------------------------------------- 4. Social Security Administration Health IT Partner Program Assessment--Participating Facilities and Available Content Form--20 CFR 404.1614, 416.1014, 24 CFR 495.300-495.370--0960-0798. The Health Information Technology for Economic and Clinical Health (HITECH) Act promotes the adoption and meaningful use of health information technology (IT), particularly in the context of working with government agencies. Similarly, section 3004 of the Public Health Service Act requires health care providers or health insurance issuers with government contracts to implement, acquire, or upgrade their health IT systems and products to meet adopted standards and implementation specifications. To support expansion of SSA's health IT initiative as defined under HITECH, SSA developed Form SSA-680, the Health IT Partner Program Assessment--Participating Facilities and Available Content Form. The SSA-680 allows healthcare providers to provide the information SSA needs to determine their ability to exchange health information with us electronically. We evaluate potential partners (i.e., healthcare providers and organizations) on (1) the accessibility of health information they possess, and (2) the content value of their electronic health records' systems for our disability adjudication processes. SSA reviews the completeness of organizations' SSA-680 responses as one part of our careful analysis of their readiness to enter into a health IT partnership with us. The respondents are healthcare providers and organizations exchanging information with the agency. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (hours) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-680..................................... 30 1 5 150 ---------------------------------------------------------------------------------------------------------------- II. SSA submitted the information collections below to OMB for clearance. Your comments regarding the information collections would be most useful if OMB and SSA receive them 30 days from the date of this publication. [[Page 29789]] To be sure we consider your comments, we must receive them no later than June 22, 2015. Individuals can obtain copies of the OMB clearance packages by writing to [email protected]. 1. Application for Supplemental Security Income--20 CFR 416.305- 416.335, Subpart C--0960-0444. SSA uses Form SSA-8001-BK to determine an applicant's eligibility for SSI and SSI payment amounts. SSA employees also collect this information during interviews with members of the public who wish to file for SSI. SSA uses the information for two purposes: (1) Formally deny SSI for non-medical reasons when information the applicant provides results in ineligibility; or (2) establish a disability claim, but defer the complete development of non-medical issues until SSA approves the disability. The respondents are applicants for SSI. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Estimated Number of Frequency of Average burden total annual Modality of completion respondents response per response burden (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- MSSICS/Signature Proxy.......................... 1,195,521 1 20 398,507 Non-MSSICS (Paper).............................. 140,145 1 20 46,715 --------------------------------------------------------------- Totals...................................... 1,335,666 .............. .............. 445,222 ---------------------------------------------------------------------------------------------------------------- 2. Statement of Reclamation Action--31 CFR 210--0960-0734. Regulations governing the Federal Government Participation in the Automated Clearing House (1) allow SSA to send Social Security payments to Canada, and (2) mandate the reclamation of funds paid erroneously to a Canadian bank or financial institution after the death of a Social Security beneficiary. SSA uses Form SSA-1713, Notice of Reclamation Action, to determine if, how, and when the Canadian bank or financial institution is going to return erroneous payments after the death of a Social Security beneficiary who elected to have payments sent to Canada. Form SSA-1712 (or SSA-1712 CN), Notice of Reclamation-Canada Payment Made in the United States, is the cover sheet SSA prepares to request return of the payment. The respondents are Canadian banks and financial institutions who erroneously received Social Security payments. Type of Request: Revision of an OMB-approved information collection. ---------------------------------------------------------------------------------------------------------------- Average burden Estimated total Modality of completion Number of Frequency of per response annual burden respondents response (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- SSA-1713.................................... 15 1 5 1 ---------------------------------------------------------------------------------------------------------------- Dated: May 19, 2015. Faye I. Lipsky, Reports Clearance Officer, Social Security Administration. [FR Doc. 2015-12454 Filed 5-21-15; 8:45 am] BILLING CODE 4191-02-P
![Federal Register / Vol. 80, No. 99 / Friday, May 22, 2015 / Notices 29787
Committee’s Web site (http:// U.S. Small Business Administration, estimate; the need for the information;
www.sec.gov/spotlight/acsec- 409 3rd Street SW., Suite 6050, its practical utility; ways to enhance its
spotlight.shtml). Washington, DC 20416 quality, utility, and clarity; and ways to
Statements also will be available for SUPPLEMENTARY INFORMATION: Notice is minimize burden on respondents,
Web site viewing and printing in the hereby given that as a result of the including the use of automated
Commission’s Public Reference Room, Administrator’s EIDL declaration, collection techniques or other forms of
100 F Street NE., Room 1580, applications for economic injury information technology. Mail, email, or
Washington, DC 20549, on official disaster loans may be filed at the fax your comments and
business days between the hours of address listed above or other locally recommendations on the information
10:00 a.m. and 3:00 p.m. All statements announced locations. collection(s) to the OMB Desk Officer
received will be posted without change; The following areas have been and SSA Reports Clearance Officer at
we do not edit personal identifying determined to be adversely affected by the following addresses or fax numbers.
information from submissions. You the disaster: (OMB), Office of Management and
should submit only information that Primary Counties: Middlesex, Norfolk, Budget, Attn: Desk Officer for SSA, Fax:
you wish to make available publicly. Plymouth 202–395–6974, Email address: OIRA_
FOR FURTHER INFORMATION CONTACT: Julie Contiguous Counties: Submission@omb.eop.gov.
Z. Davis, Senior Special Counsel, at Massachusetts: Barnstable, Bristol, (SSA), Social Security
(202) 551–3460, Office of Small Essex, Suffolk, Worcester Administration, OLCA, Attn: Reports
Business Policy, Division of Corporation New Hampshire: Hillsborough Clearance Director, 3100 West High
Finance, Securities and Exchange Rhode Island: Providence Rise, 6401 Security Blvd., Baltimore,
Commission, 100 F Street NE., The Interest Rates are: MD 21235, Fax: 410–966–2830, Email
Washington, DC 20549–3628. address: OR.Reports.Clearance@ssa.gov.
SUPPLEMENTARY INFORMATION: In Percent Or you may submit your comments
accordance with Section 10(a) of the online through www.regulations.gov,
Businesses and Small Agricultural referencing Docket ID Number [SSA–
Federal Advisory Committee Act, 5
Cooperatives Without Credit 2015–0029].
U.S.C.-App. 1, and the regulations Available Elsewhere .................. 4.000
thereunder, Keith Higgins, Designated Non-Profit Organizations Without I. The information collections below
Federal Officer of the Committee, has Credit Available Elsewhere ....... 2.625 are pending at SSA. SSA will submit
ordered publication of this notice. them to OMB within 60 days from the
Dated: May 18, 2015. The number assigned to this disaster date of this notice. To be sure we
for economic injury is 143120. consider your comments, we must
Brent J. Fields,
The States which received an EIDL receive them no later than July 21, 2015.
Committee Management Officer.
Declaration # are: Massachusetts, New Individuals can obtain copies of the
[FR Doc. 2015–12379 Filed 5–21–15; 8:45 am] collection instruments by writing to the
Hampshire, Rhode Island.
BILLING CODE 8011–01–P above email address.
(Catalog of Federal Domestic Assistance
1. Statement of Funds You Provided
Number 59002)
to Another and Statement of Funds You
SMALL BUSINESS ADMINISTRATION Dated: May 15, 2015. Received—20 CFR 404.1520(b),
[Disaster Declaration #14312] Maria Contreras-Sweet, 404.1571–404.1576, 404.1584–404.1593
Administrator. and 416.971–416.976—0960–0059. SSA
MASSACHUSETTS Disaster #MA– [FR Doc. 2015–12370 Filed 5–21–15; 8:45 am] uses Form SSA–821–BK to collect
00064 Declaration of Economic Injury BILLING CODE 8025–01–P recipient employment information to
determine whether recipients worked
AGENCY: U.S. Small Business after becoming disabled and, if so,
Administration. whether the work is substantial gainful
SOCIAL SECURITY ADMINISTRATION
ACTION: Notice. activity. SSA’s field offices use Form
[Docket No: SSA–2015–0030] SSA–821–BK to obtain work
SUMMARY: This is a notice of an
information during the initial claims
Economic Injury Disaster Loan (EIDL) Agency Information Collection
process, the continuing disability
declaration for the Commonwealth of Activities: Proposed Request and
review process, and for Supplemental
Massachusetts, dated 05/15/2015. Comment Request
Security Income (SSI) claims involving
Incident: Record-breaking Snowfall
The Social Security Administration work issues. SSA’s processing centers
and Extreme Cold Temperatures.
(SSA) publishes a list of information and the Office of Disability and
Incident Period: 01/26/2015 through
collection packages requiring clearance International Operations use the form to
02/22/2015.
by the Office of Management and obtain post-adjudicative work issue
DATES: Effective Date: 05/15/2015. Budget (OMB) in compliance with from recipients. SSA reviews and
EIDL Loan Application Deadline Date: Public Law 104–13, the Paperwork evaluates the data to determine if the
02/15/2016. Reduction Act of 1995, effective October applicant or recipient meets the
ADDRESSES: Submit completed loan 1, 1995. This notice includes revisions disability requirements of the law. The
applications to: U.S. Small Business
asabaliauskas on DSK5VPTVN1PROD with NOTICES
of OMB-approved information respondents are applicants and
Administration, Processing and collections, and reinstatements of recipients of Title II Social Security and
Disbursement Center, 14925 Kingsport previously OMB-approved information SSI disability payments.
Road, Fort Worth, TX 76155. collections. Type of Request: Reinstatement with
FOR FURTHER INFORMATION CONTACT: A. SSA is soliciting comments on the change of a previous OMB-approved
Escobar, Office of Disaster Assistance, accuracy of the agency’s burden information collection.
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![Federal Register / Vol. 80, No. 99 / Friday, May 22, 2015 / Notices 29789
To be sure we consider your comments, uses Form SSA–8001–BK to determine reasons when information the applicant
we must receive them no later than June an applicant’s eligibility for SSI and SSI provides results in ineligibility; or (2)
22, 2015. Individuals can obtain copies payment amounts. SSA employees also establish a disability claim, but defer the
of the OMB clearance packages by collect this information during complete development of non-medical
writing to OR.Reports.Clearance@ interviews with members of the public issues until SSA approves the disability.
ssa.gov. who wish to file for SSI. SSA uses the The respondents are applicants for SSI.
1. Application for Supplemental information for two purposes: (1)
Security Income—20 CFR 416.305– Type of Request: Revision of an OMB-
Formally deny SSI for non-medical approved information collection.
416.335, Subpart C—0960–0444. SSA
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
MSSICS/Signature Proxy ................................................................................ 1,195,521 1 20 398,507
Non-MSSICS (Paper) ...................................................................................... 140,145 1 20 46,715
Totals ........................................................................................................ 1,335,666 ........................ ........................ 445,222
2. Statement of Reclamation Action— Social Security beneficiary. SSA uses Reclamation-Canada Payment Made in
31 CFR 210—0960–0734. Regulations Form SSA–1713, Notice of Reclamation the United States, is the cover sheet SSA
governing the Federal Government Action, to determine if, how, and when prepares to request return of the
Participation in the Automated Clearing the Canadian bank or financial payment. The respondents are Canadian
House (1) allow SSA to send Social institution is going to return erroneous banks and financial institutions who
Security payments to Canada, and (2) payments after the death of a Social erroneously received Social Security
mandate the reclamation of funds paid Security beneficiary who elected to have payments.
erroneously to a Canadian bank or payments sent to Canada. Form SSA– Type of Request: Revision of an OMB-
financial institution after the death of a 1712 (or SSA–1712 CN), Notice of approved information collection.
Average Estimated total
Number of Frequency of burden per
Modality of completion annual burden
respondents response response (hours)
(minutes)
SSA–1713 ........................................................................................................ 15 1 5 1
Dated: May 19, 2015. FOR FURTHER INFORMATION CONTACT: The Performance Based Navigation,
Faye I. Lipsky, RTCA Secretariat, 1150 18th Street NW., Multiple Runway Operations,
Reports Clearance Officer, Social Security Suite 910, Washington, DC 20036, or by DataComm
Administration. telephone at (202) 833–9339, fax at (202) • Harmonization of DataComm
[FR Doc. 2015–12454 Filed 5–21–15; 8:45 am] 833–9434, or Web site at
http://www.rtca.org. Andy Cebula, NAC • NACSC Metrics AdHoc Group Report
BILLING CODE 4191–02–P
Secretary can also be contacted at • NAC ADS–B AdHoc Group Report
acebula@rtca.org or 202–330–0652. • FAA Response to RTCA ‘‘Blueprint
DEPARTMENT OF TRANSPORTATION SUPPLEMENTARY INFORMATION: Pursuant for Success to Implementing
to section 10(a) (2) of the Federal Performance Based Navigation’’
Federal Aviation Administration Advisory Committee Act (Pub. L. 92– Recommendation
463, 5 U.S.C., App.), notice is hereby
Fifteenth Meeting: RTCA NextGen given for a meeting of Special • Summary of meeting and next steps—
Advisory Committee (NAC) Committee 224. The agenda will include DFO and NAC Chairman Closing
the following: Comments
AGENCY: Federal Aviation
• Other business
Administration (FAA), U.S. Department June 5th
of Transportation (DOT). • Adjourn
• Opening of Meeting/Introduction of
ACTION: Fifteenth Meeting Notice of NAC Members—Chairman Richard Attendance is open to the interested
RTCA NextGen Advisory Committee. Anderson, Chief Executive Officer, public but limited to space availability.
Delta Air Lines, Inc. With the approval of the chairman,
SUMMARY: The FAA is issuing this notice • Official Statement of Designated members of the public may present oral
to advise the public of the fifteenth Federal Official—The Honorable Mike
asabaliauskas on DSK5VPTVN1PROD with NOTICES
meeting of the RTCA NextGen Advisory statements at the meeting. Persons
Whitaker, FAA Deputy Administrator wishing to present statements or obtain
Committee. • Review and Approval of February 26, information should contact the person
DATES: The meeting will be held June 5, 2015 Meeting Summary listed in the FOR FURTHER INFORMATION
2015 from 9 a.m. to 3 p.m. • Chairman’s Report—Chairman CONTACT section. Members of the public
ADDRESSES: The meeting will be held at Anderson may present a written statement to the
RTCA Headquarters, NBAA/Colson • FAA Report—Mr. Whitaker committee at any time.
Conference Rooms 1150, 18th Street • NextGen Integration Working Group
NW., Suite 910, Washington, DC 20036. (NIWG) Reports—Surface,
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Document Created: 2015-12-15 15:46:17
Document Modified: 2015-12-15 15:46:17
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 80 FR 29787 |
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